Roberts Dental Ranch of Texas, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22822 Issued in TX

Legal business name

ROBERTS DENTAL RANCH OF TEXAS, PA

Practice address

2440 East Prosper Trail
Prosper, TX 75078

Phone

(972) 347-6444

NPI assigned

Feb 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raenie Oakes Roberts, DDSNPI 1053479626

Title

Co-Director

Phone

(214) 728-9419

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raenie Roberts, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Prosper, TX
  • NPI 1053479626
  NPD (past) Authorized official
• John David Roberts, DDS, MS

  • Dentist
  • Prosper, TX
  • NPI 1326265240
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1760621106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 STILLHOUSE HOLLOW DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750787203",
            "telephone_number": "972-347-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 EAST PROSPER TRAIL",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "972-347-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS DENTAL RANCH OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RAENIE",
        "authorized_official_middle_name": "OAKES",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "214-728-9419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "22822",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "21466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Rivas, PA-C
• Stephanie Rivero
• Sheeza Rizvi
• Shelley Robbins
• Joshua Roberson, DPT, CSCS
• Aaron Michael Roberts, D.O.
• John David Roberts, DDS, MS
• Raenie Roberts, DDS, MS
• John Marion Robertson, MD
• Zariah Robinson

• Pediatric Dentistry in Prosper, TX
• Providers in Prosper, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.